此漏生于肛门外,隔一寸穿一孔,左右相对,一点不差,有时左孔流水而右孔闭,有
时右孔流水而左孔闭,若受辛劳则漏孔出脓。治法当外用插入药线,熏洗落茧,内服中九
丸、金蚣丸、槐角丸,再贴解毒膏收功。
此症先成一漏,历数年后即延至胯上,或三、五,或六、七不等,初则一孔疼痛出
脓,继则牵连多孔出脓,故又名瓜藤漏,漏孔有一硬痕,如牵藤样。治法须先从开始一孔
治起,根据次用线取茧,茧尽后,以熏洗汤洗之,再以加味天然散收功,内服中九丸兼槐角丸。
此漏与曲尺相似,形状如牛之鼻孔,故有是名。治法与曲尺痔同。
此症生于肛门周遭,时出腥水,不甚疼痛。治法内服中九丸,外贴千捶纸,其腥水自止。
此症生于龟尾穴骨上下,下体一段及背脊骨上,皆红肿作痛,潮热身重,或三、四
日,或六、七日,依旧漏孔出脓甚多。治疗时于龟尾上红肿处以手按之,必外实内虚,有
脓应指,以化肉膏贴之,至肉黑时,以针拨开,则脓随针出,排出脓后,于孔内插药线三
次,促其干脓,内服中九、三香两丸即瘥。
干脓小药线制法∶
用带圆之五倍子一枚,在一端开一孔,以明矾五钱,白砒一钱为末,填入肚内,以纸
包数层,润湿之后,埋入炭灰火中煨之,俟其干时,取出倍子,用火再焙焦为末,米面糊条,晒干备用。
This fistula occurs outside the anus, penetrating through at a distance of one cun, forming two holes that are opposite to each other left and right with precise alignment. Sometimes fluid drains from the left hole while the right hole is closed; sometimes fluid drains from the right hole while the left hole is closed. If subjected to physical exertion or fatigue, pus will discharge from the fistula openings. The treatment method involves externally inserting medicated threads, fumigating and washing to remove hard crusts (luojian), internally administering Zhongjiu Wan (Nine-Cent Pill), Jin Gou Wan (Golden Centipede Pill), and Huaijiao Wan (Huaijiao Pill), and finally applying Jiedu Gao (Detoxification Plaster) to conclude the treatment.
This condition initially presents as a single fistula. After several years, it spreads to the groin area, manifesting in varying numbers such as three, five, six, or seven. Initially, there is pain and pus discharge from one hole, which subsequently extends to involve multiple holes discharging pus. Hence, it is also known as "Gua Teng Lou" (Melon Vine Fistula). There is a hard scar at the fistula opening, resembling a pulled vine. Treatment must begin with the initial hole, followed by sequentially using threads to remove the hard crusts. Once the crusts are completely removed, wash the area with Xunxi Tang (Fumigation and Washing Decoction), then apply Jiawei Tianran San (Modified Natural Powder) to conclude. Internally administer Zhongjiu Wan concurrently with Huaijiao Wan.
This fistula resembles Quchi Zhi (Right-Angle Hemorrhoid) in shape, looking like a cow's nostril, hence its name. The treatment method is identical to that of Quchi Zhi.
This condition occurs around the anus, frequently discharging foul-smelling fluid with mild pain. The treatment involves internally administering Zhongjiu Wan and externally applying Qianchui Zhi (Thousand-Beaten Paper); the foul-smelling fluid will cease spontaneously.
This condition occurs above and below the bone at the Guwei acupoint, with redness, swelling, and pain affecting a segment of the lower body and the spinal column. Symptoms include tidal fever and heavy sensation in the body. Over a period of three to four days or six to seven days, copious pus continues to discharge from the fistula. During treatment, pressing on the red and swollen area at Guwei reveals an external hardness but internal emptiness, with fluctuation indicating pus accumulation. Apply Huarou Gao (Flesh-Melting Plaster) to this area. When the tissue turns black, puncture it with a needle to allow pus to drain. After draining the pus, insert medicated threads into the cavity three times to promote the drying of pus. Internally administer Zhongjiu Wan and Sanxiang Wan (Three-Fragrance Pill) for recovery.
Preparation Method for Drying-Pus Small Threads:
Take one Wu Beizi (Galla Chinensis) with a natural round cavity. Drill a small hole at one end. Grind 5 qian of Ming Fan (Alumen) and 1 qian of Bai Pi (Realgar) into powder. Fill the powder into the cavity of the Wu Beizi. Wrap it in several layers of paper, moisten it, and bury it in charcoal ash to roast (wei). When dry, remove the Wu Beizi, roast it again until scorched, and grind it into powder. Mix with rice flour paste to form strips, then dry them for future use.